Ryan Joseph Mango Valid NPI
Individual provider · Independent Duty Corpsman · Camp Lejeune, NC
- NPI
- 1356051247
- Type
- Individual (Type 1)
- Primary specialty
- Independent Duty Corpsman (Military Health Care Provider)
- Specialty group
- Other Service Providers
- Taxonomy code
- 1710I1002X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-12-01
- Last updated
- 2022-12-01
Practice location
1st Marine Raider Battalion
Camp Lejeune, NC 28460
(910) 440-2504